Individual provider Active NPI

David Paul Grubbs, DPT

  • Physical Therapist
  • Hilliard, OH
National Provider Identifier
1104225770
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015044 Issued in OH
Practice address
4611 Trueman Blvd
Suite B
Hilliard, OH 43026-2485
Phone
(614) 488-1816
Fax
(614) 488-0390
NPI assigned
Aug 19, 2014
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015044 OH Primary

Addresses

Primary practice location

4611 Trueman Blvd
Suite B
Hilliard, OH 43026-2485

Mailing address

170 Taylor Station Rd
Columbus, OH 43213-4491
Phone (614) 545-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180109003059 AZ Practitioner - Physical Therapist in Private Practice 4880918259 Reassigns benefits to 1 organization
I20260617001743 TX Practitioner - Physical Therapist in Private Practice 4880918259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Orthopedic Therapy IncGroup PAC ID 6608851605, 4 clinicians
Lonestar Physical Therapy and Sports Performance LLCGroup PAC ID 5698144954, 3 clinicians

Practice addresses (Care Compare)

1948 Mesquite Ave
Suite 101
Lake Havasu City, AZ 86403-5777
Phone (928) 854-4776

5759 Eagles Nest Blvd
Suite 4
Tyler, TX 75703-6231
Phone (903) 405-4899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015044OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Rehabilitation Orthopedic Therapy, Inc CurrentSince Dec 26, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist PastSince Aug 19, 2014 Accepting new patients

Locations

1948 Mesquite Ave
Ste 101
Lk Havasu Cty, AZ 86403
Phone (928) 854-4776

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1104225770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134491",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 TRUEMAN BLVD",
            "address_2": "SUITE B",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262485",
            "telephone_number": "614-488-1816",
            "fax_number": "614-488-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.